Individual provider Active NPI

Kerri J Gray, MD

  • Family Medicine Physician
  • Bethesda, MD
National Provider Identifier
1700880184
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0053284 Issued in MD
Practice address
10401 Old Georgetown Rd Ste 304
Bethesda, MD 20814-1911
Phone
(301) 843-8008
NPI assigned
Jun 13, 2005
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0053284 MD Primary

Addresses

Primary practice location

10401 Old Georgetown Rd Ste 304
Bethesda, MD 20814-1911

Mailing address

10401 Old Georgetown Rd Ste 304
Bethesda, MD 20814-1911
Phone (301) 843-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000252 DC Practitioner - Family Practice 0345378055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10401 Old Georgetown Rd
Suite 304
Bethesda, MD 20814-1911
Phone (240) 372-9414

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053284MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Medicine Family Medicine CurrentSince Apr 30, 2022 Accepting new patients
Capital Healthcare PC CurrentSince Jul 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10401 Old Georgetown Rd
Ste 304
Bethesda, MD 20814
Phone (240) 630-8882

5622 Shields Dr
Bethesda, MD 20817
Phone (301) 493-0400

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHGCD/Endpoint/GAHGCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1700880184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 304",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-843-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 304",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-843-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KERRI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0053284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.